HomeMy WebLinkAboutPermit EL19-0119 - CORBEL SOLUTIONS - ADO NEW 30 AMP CIRCUIT (30 AMP 250 VOLT) RECEPTACLECORBEL SOLUTIONS
1038 INDUSTRY DR
ELI9-01 19
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
2523049071
1038 INDUSTRY DR
Project Name: CORBEL SOLUTIONS
ELECTRICAL OTC PERMIT
Permit Number: EL19-0119
Issue Date: 2/6/2019
Permit Expires On: 8/5/2019
Owner:
Name:
BKM TUKWILA
Address: 1701 QUAIL ST STE 100 , NEWPORT
BEACH, WA, 92660
Contact Person:
Name: JOAN BLACKER
Address: 11807 NORTH CREEK PARKWAY S -
SUITE B103 , BOTHELL, WA, 98011
Contractor:
Name: NORTHWEST EDISON INC
Address: 11807 NORTH CREEK PARKWAY S
SUITE B 103, BOTHELL, WA, 98011
License No:
Lender:
Name:
Address:
NORTHEI983RD
Phone: (425) 806-9200
Phone: (425) 806-9200
Expiration Date: 12/4/2020
DESCRIPTION OF WORK:
ADD NEW 30 AMP CIRCUIT (30 AMP 250 VOLT) RECEPTACLE
Valuation of single family: $0.00
Valuation of mf/comm: $1,078.00
Type of Work: TENANT IMP
Fees Collected: $130,83
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit,
Signature:
Print Name: Ac.Nv,.a St�i-t.0
Date: "
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC and the Washington Cities Electrical Code.
S: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. Ci 0 1
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
Site Address: 'I 39 Sv4 s
Tenant Name: Of3f loo 1 So \u 3 S
PROPERTY OWNER
Name: % m
Address:
1038 =rdus.
�riv
City:vv.wtlr`
State:
ti) 4
Zip: `m ! Y4
CONTACT PERSON — person receiving all project
communication
Name:
J co.n CS\cscic.erf-
Address: 6 - y p3
11iSO7 NQr cmelz- Pc„ac.„.�vJ S
City: 1\ State: WR Zip: ggo(l
Phone: L\ 2s- gob 1200 Fax:
Email: Ar b { Nt>L;ed'Sin . CaY►-,
King Co Assessor's Tax No.:
$S ? Suite Number:
New Tenant:
Floor:
Yes
kj ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: `\
iVCr
k -.
c�6�
Address: iwo-7 Cc�¢Ll
City: :7a q
State: tt Zip: clg0 II
t�
Phoney Zs- c&Q(0 ct 100
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
or ik E-LQ 1 311z D
Valuation of Project (contractor's bid price): $ /r 7 1g, 00
o &QL 30 %MA 2-Sz)v)
Reczs\ e
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes gc No Adding more than 50 amps? Q Yes ® No
Type of Use:
Type of work:
❑ New ❑ Addition 0 Service Change ❑ Remodel ef, Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
rx Puget Sound Energy 0 Seattle City Light
W:1Pennit Center Applications-HandoutsWermil Applications\P➢FslElectrical Permit Application Revised 1-17-19. docn
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
0 Garages, pools, spas and outbuildings ......... ..... -$120,00 ea
cj Low voltage systems
(alarm)._. ..... .... .... „ ........ .... ..... ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
El Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change$60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
El Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $1 1.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Date: a/64/7
Day Telephone:
1970') &Pei i Eck:kV 1-41 40- 31/ NI:4e (I IA)
City State
9 601 L
Zip
WAPermit CenteliApplications-HandoutsTemtit Applications \PDFs \Electrical Permit Application Revised 1-17-19.docx
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
$130.83
EL19-0119 Address: 1038 INDUSTRY DR
Apn: 2523049071
$130,83
Credit Card Fee
$3.81
Credit Card Fee
R000.369,908.00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000,322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R16779
R000.322,900.04.00
0.00
$6,05
$130.83
Date Paid: Wednesday, February 06, 2019
Paid By: DAVID KIEFKER
Pay Method: CREDIT CARD 615798
Printed: Wednesday, February 06, 2019 8:52 AM 1 of 1
c
SYSTEMS
C
CO TVKWILA ETRoKIT
6280 50VTH[ENTEK 8LVD
TUxwILA' wx 98188
206-433-1870
CITY OF TUKWILA
0017340000802374404580
Date: 02/06/20I9 08:5I:57 AM
CREDIT CARD SALE
MASTERCARD
[xxo NUMBER: ~*~****^*~7252 K
Tnxm AMOUNT: $130.83
oppKOvAL [D: 6I5798
RECORD #: 000
cLsnx ID: Bill
X
{CARDHOLDER'S SIGNATURE}
I 4Gnss TO pxv THE ABOVE TOTAL AMOUNT
ACCORDING TO THE [AKn ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P`RN'IIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Btvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: 7 ,►
Type cif Inspection:
Address:
Date Called:
Special Instructions:
!NIL
Date Wanted:
a
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
n s pecto
gate:
1 REINSPECT' N FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Calk to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PEMITNO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit inspection Request Line (206) 438-9350
Project:
Type of inspection: ,
'
Address:
/03
{
Date Called:
, -
Special Instructions:
J.tTL-t1
- 'Date
Wanted: a. .
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
,Corrections
required prior to approval.
PstJJP TO
Jr;
Ins pec o
Date:
REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Can to schedule reinspectoon.
E,Taiiol Contact
Safety & Health Claims & Insurance
44Washington State Department of
k
Labor & industries
A-Z Help Mv L&1
Workplace Rights Trades & Licensing
NORTHWEST EDISON INC
Owner or tradesperson
Principals
CAMILLERI, DANIEL C, PRESIDENT
OWEN, RANDY, VICE PRESIDENT
OWEN, RICHARD E, SECRETARY
OWEN, RICHARD E, TREASURER
OWEN, RANDY M, AGENT
OVVEN, RICHARD, PRESIDENT
(End: 03/06/2012)
OWEN, SALI, SECRETARY
(End: 03/05/2012)
OWEN, RICHARD, AGENT
(End: 03/06/2012)
Doing business as
NORTHWEST EDISON INC
WA UBI No.
601 522 062
Parent company
INDUSTRIAL LIGHT & ENERGY INC
11807 North Creek Parkway S
Ste B103
BOTHELL, WA 98011
425-806-9200
KING County
Business type
Corporation
Governing persons
RICHARD
OWEN
SALI ON;
RANDY OWEN;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
NORTHEI983RD
Effective — expiration
12/0412002— 12/04/2020
Designated administrator
OWEN, RANDY MARK
License type
Electrical Administrator
Bond
RLI Ins Co
Bond account no.
LSM0667470
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
OVVEN*RM959Q8
$4,000.00
Received by L&I
Effective date Help us improve
10/08/2014
/4646 10/26/2014
Expiration date
Until Canceled
Ntoeffe.'
Bond history
Savings
No savings accours during the previous 6 year period.
License Violations
Infraction no.
EBANX00358
Issue date
03/1812014 3‘.
Violation city
VVOODINVILLE 2C
Type of violation
ELECTRICAL C1'."\TION
Description r
Failing to get an ispection or obtain an
electricalltelecor. nunications work permit or
posta provision:, electrical work permit prior
to beginning the- iectricalltelecommunication
installation or alt_ration as referenced in WAC
296-46B-901. FA/ .URE TO OBTAIN AN
ELECTRICAL W( RK PERMIT PRIOR TO
BEGINNING THeNSTALLATION.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Workers' cmp
Do you know if the ljsiness has employees? If so, verify the business is up-to-date on workerscomp premiums.
This company has :nultiple workers' comp accounts.
s,
Active accounts
L&I Account ID
989,512-00
Account is current.
Doing business as
NORTHWEST EDI: ..)N
Estimated workers / ported
Quarter 4 of Year' 18 "76 to 100 Workers"
L&I account contac.
TO / DALE MCMAS :ER (360)902-5617 - Email: MCMS235@lni.wa.gov
Track this contracto 0
Public Wor s Strikes and Debarments
Verify the contractc ;s eligible to perform work on public works projects.
Contractor Strikes
No strikes have b( n issued against this contractor.
Contractors not al :wed to bid
No debarments ha e been issued against this contractor.
Workplace lafety and health
Check for any past afety and health violations found on jobsites this business was responsible for.
Inspection results ;ate
06/10/2015 Violations
Inspection no.
317936372
Location
19804 141 PI Ne
Woodinville, WA 8072
Inspection results ate
05/21/2015
No violations
Help us nprove